Individual provider Active NPI

Charity F McConnell, MD

  • Dermatology Physician
  • Franklin, TN
National Provider Identifier
1467451740
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD 34825 Issued in TN
Practice address
740 Cool Springs Blvd.
Suite 200
Franklin, TN 37067
Phone
(615) 771-1881
Fax
(615) 771-0050
NPI assigned
Jul 19, 2005
Last updated
Jan 22, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD 34825 TN Primary

Addresses

Primary practice location

740 Cool Springs Blvd.
Suite 200
Franklin, TN 37067

Mailing address

740 Cool Springs Blvd.
#200
Franklin, TN 37067
Phone (615) 771-1881

Other identifiers 1

IdentifierTypeStateIssuer
4010854OtherTNBLUE CROSS BLUE SHIELD TN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100712000175 TN Practitioner - Dermatology 5991837965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of South Carolina School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franklin Dermatology Group, PLCGroup PAC ID 8729010665, 11 clinicians

Practice addresses (Care Compare)

740 Cool Springs Blvd
Suite 200
Franklin, TN 37067-6450
Phone (615) 771-1881

Merit-based Incentive Payment System (MIPS)

Final score
80.2 of 100Reported as group
Quality
82.15
Improvement activities
40
Cost
57.78

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision13
Removal of skin lesions1035
Removal or shaving of skin growth1-10
Skin biopsy563

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD 34825TNMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franklin Dermatology Group, PLC Dermatology CurrentSince Jan 1, 1999 Accepting new patients

Locations

740 Cool Springs Blvd
Ste 200
Franklin, TN 37067
Phone (615) 771-1881

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421884800000",
    "number": "1467451740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 COOL SPRINGS BLVD.",
            "address_2": "#200",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "37067",
            "telephone_number": "615-771-1881",
            "fax_number": "615-771-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 COOL SPRINGS BLVD.",
            "address_2": "SUITE 200",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "37067",
            "telephone_number": "615-771-1881",
            "fax_number": "615-771-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONNELL",
        "first_name": "CHARITY",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-19",
        "last_updated": "2015-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TN",
            "license": "MD 34825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TN",
            "identifier": "4010854",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

Verify at the official NPI Registry.